Lung Function Evaluated By Structured Light Plethysmography in Children After Lung Surgery: A Preliminary Analysis.
Pediatr Allergy Immunol Pulmonol
; 37(1): 7-12, 2024 Mar.
Article
en En
| MEDLINE
| ID: mdl-38484265
ABSTRACT
Background:
Structured light plethysmography (SLP) is a novel light-based method that captures chest wall movements to evaluate tidal breathing.Methods:
Thirty-two children who underwent lung surgery were enrolled. Their clinical history was collected along with spirometry and SLP.Results:
Median age of surgery was 9 months (interquartile range 4-30). Most frequent diagnosis was congenital pulmonary airway malformation (14/32), then pulmonary sequestration (9/32), tumor (5/32), and bronchogenic cyst (4/32). The most frequent surgical approach was lobectomy (59%), segmentectomy (38%), and complete resection (3%). More than 80% had surgery when younger than 3 years of age. Eight patients had short-term complications (pleural effusion was the most frequent), while long-term effects were reported in 15 patients (19% recurrent cough, 13% thoracic deformities, 13% airway infections, 9% wheezing, 6% reduced exercise tolerance, and 3% columnar deformities). Spirometry was normal in 9/22 patients. Nine patients had a restrictive pattern, while 4 showed a mild bronco-reactivity. Ten patients did not perform spirometry because of young age. SLP revealed the presence of obstructive pattern in 10% of patients (IE50 > 1.88) and showed a significant difference between the two hemithorax in 29% of patients.Discussion:
SLP may be a new method to evaluate lung function, without collaboration and radiation exposure, in children who underwent lung resection, also in preschool age.Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Pletismografía
/
Procedimientos Quirúrgicos Pulmonares
Límite:
Child
/
Child, preschool
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Humans
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Infant
Idioma:
En
Revista:
Pediatr Allergy Immunol Pulmonol
/
Pediatr. allergy immunol. pulmonol. (Online)
/
Pediatric allergy, immunology, and pulmonology (Online)
Año:
2024
Tipo del documento:
Article
País de afiliación:
Italia